Provider Demographics
NPI:1508568114
Name:COOK, CALVIN LOUIS JR (MD)
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:LOUIS
Last Name:COOK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 SW 34TH CIR STE 303
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-6615
Mailing Address - Country:US
Mailing Address - Phone:352-873-7500
Mailing Address - Fax:352-861-7501
Practice Address - Street 1:3301 SW 34TH CIR STE 303
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-6615
Practice Address - Country:US
Practice Address - Phone:352-873-7500
Practice Address - Fax:352-861-7501
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME175287207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program